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MONITORING SYSTEM CERTI ATION CERTIFICATION /TEST DATE: June 8, 2012 Al. FACILITY A2. OWNER Name Tracy 76 - Reliance Gas Investments, Inc. Name Jivtesh Gill Address 2420 W. Grantline Road, Tracy, CA 95337 Address 4855 South State Hwy 99, Stockton, CA 95215 Phone# Phone# 209-948-2438 Contact Jivtesh Gill Contact Jivtesh Gill F. IN -TANK GAUGING / SIR EQUIPMENT: ■ Check this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in -tank gaugung equipment is used to perform leak detection monitoring. Complete the following checklist: ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ❑ Yes ❑ No* Has all Input wiring been Inspected for proper entry and termination, Including testing for ground faults? ❑ WA ❑ Yes ❑ No * Were all tank gauging probes visually Inspected for damage and residue buildup? ❑ Yes ❑ Yes ❑ No * Was accuracy of system product level readings tested? Were all LLDs confirmed operational and accurate within regulatory requirements? ❑ Yes ❑ No* Was accuracy of system water level readings tested? ❑ No* Was the testing apparatus properly calibrated? ❑ Yes ❑ No * Were all probes reinstalled properly? ❑ Yes ❑ No* ❑ Yes ❑ No* Were all Items on the equipment manufacturer's maintenance checklist completed? ❑ N/A * In Section H below, describe how and when these deficiencies were or will be corrected. G. LINE LEAK DETECTORS (LLD): ❑ Check this box If LLDs are not installed. Complete the following checklist: ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ❑ WA (check all that apply) Simulated leak rate. ■ 3 g.p.h.; ❑ 0.1 g.p.h.; ❑ 0.2 g.p.h. ❑ Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ❑ Yes ❑ No* Was the testing apparatus properly calibrated? ❑ Yes ❑ No* For mechanical LLDs, does the LLD restrict product flow If It detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off If the LLD detects a leak? ❑ WA _ For electronic LLDs, does the turbine automatically shut off If any portion of the monitoring system is disabled ❑ Yes ❑ No* ❑ WA or disconnected? ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off If any portion of the monitoring system malfunctions ❑ NIA or fails a test? ❑ No * For electronic LLDs, have all accessible wiring connections been visually Inspected? ❑ Yes ❑ N/A 11 ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? ❑ Yes * In Section H below, describe how and when these deficiencies were or will be corrected. H. COMMENTS Page 3 of 3